Healthcare providers may not always jump for joy when thinking about their participation in one or more of CMS’ plethora of quality reporting programs, but performance measurement initiatives are...
As the healthcare industry prepares to gather in sunny Las Vegas for the HIMSS16, they will be bringing plenty of questions, opinions, and experiences about some of the most pressing topics facing their...
Population health management may not be as much of a focus for the healthcare community as previously thought, according to a report by Numerof & Associates. While more than half of providers...
Healthcare organizations navigating the transition to value-based care are faced with a dilemma: They must invest in the infrastructure for population health management (PHM) even as their...
Healthcare stakeholders who need a little more time to gather their thoughts about the Merit-Based Incentive Payment System (MIPS) may take advantage of an extended comment period, CMS said in a...
In the first update to the Medicare physician fee schedule (PFS) since the sustainable growth rate (SGR) formula was repealed in April, CMS has unveiled its proposed rule for implementing some of its...
Nearly half a million eligible professionals will be losing 1.5 percent of their Medicare reimbursements thanks to non-participation in the Physician Quality Reporting System (PQRS) program in 2013, CMS...
Commercial health plans are at the forefront of industry-wide efforts to improve care coordination and embrace value-based payment, writes Karen Ignagni, MBA, President and Chief Executive Officer,...
In an annual battle that has flared up every spring since 1997, Congress is once again considering the repeal and replacement of the Medicare sustainable growth rate (SGR), and this year’s potential...
Aetna and more than 1200 Weill Cornell physicians will collaborate on a newly announced accountable care agreement, the payer says, intended to boost the coordination of care and provide higher quality...
Accountable care organizations (ACOs) are popping up left, right, and center as providers band together to accept risk and leverage the power of partnerships to face the myriad challenges of a changing...
Thanks to accountable care initiatives, better care coordination, and a reduction in 30-day readmissions, Medicare’s Part A hospital trust fund will be financially solvent until 2030, four years...
Humana and the UC San Diego Health System have entered an accountable care agreement to focus on improving outcomes and lowering costs for Southern California patients. The only academic medical...
CMS is asking for a little help with its quest to align Medicare reimbursement with quality outcomes, and has released a request for information (RFI) inviting providers to contribute their thoughts. ...
Pay-for-performance is completely changing the way payers and health provider networks must work together. The traditional one-way transaction-based communication approach is no longer...
The march of the accountable care organization (ACO) might not be as inexorable as many experts have predicted, according to a new survey conducted by Purdue Healthcare Advisors (PHA), which found that...
